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General NPI Number Information
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NPI Number | 1548043888
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Entity Type | Organization
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Legal Business Name | ADDICTION RECOVERY SYSTEMS LLC
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 103 S PANTOPS DR STE 102
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8617
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Country | US
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Telephone | 434-220-0080
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Fax |
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Provider Business Mailing Address
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Address Line | 150 ONIX DR
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-1886
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Country | US
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Telephone | 484-731-2496
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Fax |
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Authorized Official
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Title or Position | COO
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Name | GENEVIEVE KING
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Credential |
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Telephone | 484-731-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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